Individual
IBRAHIM B.I. ELAYYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 SAINT ANTHONYS WAY, ALTON, IL 62002-4568
(314) 317-0600
(314) 317-0606
Mailing address
12101 WOODCREST EXECUTIVE DR, SUITE 210, SAINT LOUIS, MO 63141-5047
(314) 317-0600
(314) 317-0606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.125535
IL
208M00000X
Hospitalist Physician
Primary
036.125535
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023207115
—
IL
Enumeration date
10/15/2007
Last updated
09/18/2025
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